<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="EN" lang="EN"
	dir="ltr">
<head>
<title>Moment Mobile Payments</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<meta http-equiv="imagetoolbar" content="no" />
<link rel="stylesheet"
	href="<%=request.getContextPath()%>/styles/layout.css" type="text/css" />
<script src="//code.jquery.com/jquery-1.9.1.js"></script>
<script src="<%=request.getContextPath()%>/js/validation.js"></script>
<style>
.control-label {
	display: inline-block;
	width: 100px;
}

.control-group {
	padding-bottom: 10px;
}
</style>
</head>
<body id="top">
	<%@include file="header.jsp"%>

	<div class="wrapper col3">

		<div id="intro">

			<div class="fl_left">
				<div id="login">
					<form action="../RegistrationController" method="post">
						<div class="control-group">
							<label class="control-label" for="mnum">Mobile No: </label> <input
								name="mnum" id="mnum" type="text" maxlength="10" class="required mobile"/> <span
								style="display: none;" class="help-inline">Please fill
								Mobile name</span>

						</div>

						<div class="control-group">
							<label class="control-label" for="email">Email :</label> <input
								name="email" id="email" type="text" maxlength="50" class="required email"/> <span
								style="display: none;" class="help-inline">Please fill
								email </span>

						</div>

						<div class="control-group">
							<label class="control-label" for="name"> Name:</label> <input
								name="name" id="name" type="text" maxlength="50" class="required"/> <span
								style="display: none;" class="help-inline">Please fill
								name</span>
						</div>
						<div class="fl_right">
							<input type="submit" class="myButton" name="otpsubmit"
								id="registersubmit" value="Submit" /> <input type="hidden"
								name="callto" id="callto" value="getotp" />
						</div>


					</form>
				</div>
			</div>

			<br class="clear" />
		</div>

	</div>
	<%@include file="footer.jsp"%>
</body>
</html>

